How can make my puffy nipples go away? (Photos)

Thank you for your question.
You seem to have Gynecomastia with "Puffy Nipples". Surgical removal will be helpful. Please find an experienced Board Certified Plastic Surgeon near you who can help you. All The Best !

Thank you for your question and for your photos. This is a common uncomfortable condition that men dread to have. Gynecomastia is an enlargement or swelling of breast tissue in males. It is most commonly caused by male estrogen levels that are too high or are out of balance with testosterone levels. Although there is no cure for Gynecomastia, the only option is to surgically remove the tissue and flatten out the surrounding of the chest with liposuction. Please see a board certified plastic surgeon for your condition and discuss your treatment options. I have attached a link and video for you with more information. Many of my patients find this to be very helpful. Best of luck to you.  

The “puffy nipples” you are referring to are a known aspect of gynecomastia, which is the increased presence of male breast tissue. Unfortunately, gynecomastia does not go away on its own since it is resistant to exercise and diet.  The good news is that with a simple surgical procedure, the excess tissue is removed, leaving you with a flatter, more masculine chest and flatter nipples. You will be able to go home the same day of surgery, and can return to your full exercise routine in two weeks. It is best to consult with a board certified plastic surgeon with a wealth of experience in male breast tissue reduction.  

The tissue below the areola area is pushing it outward.  This is easily corrected with surgery through a distant incision on the outside rib cage and using long instruments.  All the best, Dr. Joe

From your photos you appear to have gynecomastia (which would need to be verified through Skype or an in-office consult), the cause for which is frequently idiopathic, meaning that the cause is unknown in most cases. There are numerous other causes for gynecomastia including anabolic steroids, marijuana, certain prescription medications, liver failure, and certain tumors, among other things.  Smaller gynecomastia procedures are performed under local anesthesia and oral sedation.  This is a very well tolerated procedure that takes about an hour or less to complete.  The patient goes home the same day and begins the recovery period.
The larger gynecomastia correction procedure which involves greater tissue removal as well as skin removal is usually performed under general anesthesia.  This male reduction procedure takes less than 2 hours to complete, even in the most complicated of cases. The patient goes home the same day.

Puffy nipples is gynecomastia caused by breast tissue behind the nipple. The only way to get rid of it is by surgical excision. Be sure to consult with a board certified plastic surgeon. Good luck.

Dear Fantastic6160,
it is hard to tell for sure, but based on your photos it looks like you have gynecomastia so you will probably need a surgery in order to resolve it. A combination of liposuction and excision can provide great results. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for your question. “Puffy nipples” in an otherwise healthy, lean male is usually caused by a small amount of breast gland underneath the areola. If present, this gland has a rubbery texture and would be confirmed with a proper examination by your PS. From your photos it does look like you have minor gynecomastia. Assuming you have no other factors contributing to gynecomastia the only predictable treatment is surgery, a male breast reduction. I perform this procedure, with removal of gland and fat, through a small incision hidden in the armpit. Whichever technique is used, ensure you seek treatment from a PS with expertise in male breast reduction surgery. Good luck. 

Hello and thank you for your question and photo's.  Looks like a mild form of gynecomastia , you may just need a minimally invasive correction.  Make sure you consult with a Board Certified Plastic Surgeon. 

Thank you for your question. What you have is called gynecomastia. It can be corrected with a surgery and it is a outpatient procedure. Medicines doesn't work. Please consult with a board certified PS fro evaluation.